Nursing Commons^™

Compounding Inequalities: Adolescent Psychosocial Wellbeing And Resilience Among Refugee And Host Communities In Jordan During The Covid-19 Pandemic, Nicola Jones, Sarah Baird, Bassam Abu Hamad, Zulfiqar Ahmed Bhutta, Erin Oakley, Manisha Shah, Jude Sajdi, Kathryn M. Yount

Department of Paediatrics and Child Health

Purpose: The COVID-19 pandemic and associated risk-mitigation strategies have altered the social contexts in which adolescents in low- and middle-income countries live. Little is known, however, about the impacts of the pandemic on displaced populations, and how those impacts differ by gender and life stage. We investigate the extent to which the pandemic has compounded pre-existing social inequalities among adolescents in Jordan, and the role support structures play in promoting resilience.
Methods: Our analysis leverages longitudinal quantitative survey data and in-depth qualitative interviews, collected before and after the onset of COVID-19, with over 3,000 Syrian refugees, stateless Palestinians and vulnerable …

Utilization Of The Calm Apparatus To Adult Men And Women With Atrial Fibrillation To Decrease Emergency Department Visits For Atrial Fibrillation, Ami Klein

Doctor of Nursing Practice Scholarly Projects

The purpose of this project is two-fold. The first is to determine if the CALM APP use by adult men and women with atrial fibrillation (AF) will decrease anxiety. The second is to determine if decreased anxiety utilizing the CALM APP will deter admissions to the emergency department (ED) for AF in the first month post-catheter ablation of AF. The Zung SAS was used to determine the pre- and post-anxiety scores. The Seven Days of Calm (free app) was used to teach deep breathing and meditation. This study showed a moderate decrease in ED visits with use of the Calm …

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Reduce Nurse Burnout During Covid-19: Implementation Of The Stop Method, Heather Smallwood

Master of Science in Nursing Theses and Projects

Historically, inpatient nurses experience significant levels of stress and exhaustion which can lead to burnout. Currently, nurses are at the frontlines of the COVID-19 pandemic. The workloads have increased, physical and mental burdens have increased, and fear of contracting the virus is an added stressor. There is an immediate need for mental health support and interventions to improve the well-being of nurses. The purpose of the project is to evaluate the benefits of a mindfulness-based intervention, such as the STOP technique to reduce stress and burnout among nurses. An inpatient COVID-19 unit at a large hospital will have 60 nurses …

Hiv-Related Shame: A Grounded Theory Study Exploring The Impact Of Psychoeducation On The Lives Of People Living With Hiv, Melissa Stuntz

DNP Research Projects

Abstract

Over the past 40 years there have been significant advances in medical care for HIV. However, many people living with HIV (PLWH) experience internalized stigma in the form of HIV-related shame. This shame has been found to negatively impact mental health, patient relationships, and adherence to healthcare. This grounded theory DNP scholarly project was aimed at developing a novel theoretical framework and practice to improve quality of life including increased viral load suppression in PLWH. To this aim, a psychoeducation curriculum based on shame resilience theory was implemented with two participants in an inner-city healthcare clinic. While the shame …

Finding Innovative Ways To Battle The Opioid Crisis, Nicholas Neidlinger

Student Research Poster Presentations 2022

No abstract provided.

Supporting And Creating Strong Women, Danielle Chee

Student Research Poster Presentations 2022

No abstract provided.

Aggressive Treatment And Prevention Of Substance Use Disorders, Kylan Kurtz

Student Research Poster Presentations 2022

No abstract provided.

The Rhythm Of Your Life: The Effects Of Daily Routine On Mental Health, Kristen Brown

Graduate Research Projects

No abstract provided.

Nature Effects On Stress, Jaclyn Griffith

Graduate Research Projects

No abstract provided.

Associations Between Adhd And Comorbid Disorders In Adolescents And Adults, Sherri Beatty

Graduate Research Projects

No abstract provided.

Adhd Symptomatology And Social Media Overuse, Hannah Cassetty

Graduate Research Projects

No abstract provided.

The Feasibility Of Transitional Psychiatric Care Service In A City With A Population 20, 171 In A Midwestern State, Aubri Ashbacher

Doctor of Nursing Practice Scholarly Project

Psychiatric patients are a known vulnerable population. This population often ends up in a cycle of decline post-hospitalization that leads to rehospitalization. The purpose of this study is to establish the feasibility for bringing psychiatric transitional care services to the local community. The methods for the study include a qualitative analysis of common themes discussed from the presentation of the idea of transitional care services for this area to area mental healthcare providers. Using a qualitative approach, the project will involve conducting interviews with mental healthcare providers in a midwestern community via Zoom about the feasibility of transitional psychiatric care …

Cognitive Continuum Theory: Can It Contribute To The Examination Of Confidentiality And Risk-Actuated Disclosure Decisions Of Nurses Practising In Mental Health?, Darren Conlon, Toby Raeburn, Timothy Wand

Nursing Papers and Journal Articles

Nurses practising in mental health are faced with challenging decisions concerning confidentiality if a patient is deemed a potential risk to self or others, because releasing pertinent information pertaining to the patient may be necessary to circumvent harm. However, decisions to withhold or disclose confidential information that are inappropriately made may lead to adverse outcomes for stakeholders, including nurses and their patients. Nonetheless, there is a dearth of contemporary research literature to advise nurses in these circumstances. Cognitive Continuum Theory presents a single-system intuitive-analytical approach to examining and understanding nurse cognition, analogous to the recommended single-system approach to decision-making in …

Implementation Of A Standardized Suicide Risk Screening Tool: An Improvement Project In A University Counseling Center, Clint Emmett

DNP Scholarly Projects

This article describes a quality improvement project undertaken at the University of Idaho Counseling and Testing Center (CTC). This quality improvement project describes the use of the Ask Suicide Questions (ASQ) screening tool to accurately assess the severity of suicide risk during an initial assessment or crisis visit. Clinicians were provided with education and demonstration of the ASQ and shown how to incorporate this tool into their practice. 86 eligible appointments were included in the project for analysis. Simple descriptive statistics were used to present the resulting data. Results indicate that 30.3% of eligible appointments were screened. 43.8% of clinicians …

Implementation Of A Standardized Medication Reconciliation Protocol In A Psychiatric Stabilization Setting, Sara Robinson

DNP Scholarly Projects

BACKGROUND: Medication errors are a prevalent patient safety concern across healthcare settings. High-quality medication reconciliation is an intervention and expected standard of care that can help to prevent adverse drug events. This quality improvement project focused on implementing a standardized medication reconciliation protocol on a short-stay psychiatric unit.

INTERVENTION: An evidence-based toolkit supported by the Agency for Healthcare Research and Quality (AHRQ), Medications at Transitions and Clinical Handoffs (MATCH) was selected as the framework for developing and implementing this protocol.

Congruent with the evidence-based toolkit recommendations, baseline data collection and needs assessment provided context for tailoring the intervention to the …

Themes And Associations Concerning The Covid-19 Pandemic: Autoethnography, Amber Mcgannon, Ebunoluwa O. Adedeji

Williams Honors College, Honors Research Projects

Per the college of nursing, my proposed project will discuss living during uncertain times and unusual times of change. This APA formatted paper will be an autoethnography, meaning that we will review the perspectives of COVID through the lens of culture, research, and our own perspectives and experiences. Everyone has experienced changes during the COVID-19 pandemic due to self-isolation. Examples of change include changes in learning, working, thinking, teaching, and behaving. Using acquired nursing skills such as critical thinking, reflection, inquiry, and evidenced-based practice; my partner and I will dissect and discuss these changes and how they have affected ourselves, …

Auto- Ethnography With A Deep Dive Into Changes Mental Health During The Pandemic And A Look Into The Way The Pandemic Has Shaped Nursing Protocols For Recent Nursing College Graduates, Audrey Shaffer, Sarah Bereznay

Williams Honors College, Honors Research Projects

In this project we completed a deep dive into how the Covid-19 pandemic reshaped our mental health and has affected our preparation for careers as registered nurses through a series of auto- ethnographic narrative journals using scholarly articles to support this idea. By utilizing personal narratives, we analyzed and reflected upon the cognitive and mental changes we experienced throughout this pandemic. We fulfilled this by comprising two personal narratives with inquiries pertaining to each shared narrative by utilizing the common themes of being nursing students and living through a pandemic. Within these personal narratives, we discussed how the pandemic influenced …

Relationship Between Ego Resilience, Perceived Stress And Life Satisfaction Among University Students, Mona Hassan Abdelaal

Nursing

Abstract: Background: University students face many stressors that may have a negative impact on their life satisfaction. And the ability to cope effectively with these stressors and emotions can be termed resilience Aim of study: Was to examine the relationship between ego resilience, perceived stress and life satisfaction among university students. Research design: A descriptive correlational design was utilized to fulfill the aim of the study. Setting: The study was carried out at Faculty of Nursing and Faculty of Science at Benha University, Qalyubia governorate. Sample: A purposive sample of 300 students in the fourth grade in faculty of nursing …

Effect Of Family Caregiver Expressed Emotion Control Program On Relapse Among Patients With Schizophrenia, Mona Hassan Abdelaal

Nursing

Abstract Background: Family caregivers of patient with schizophrenia face many problems related to caregiving as, stress, anxiety and a high level of expressed emotion, the permanent negative expressed emotion of caregiving are likely to generate relapse and increase rehospitalization the schizophrenia patient. Aim of study: This study aimed to evaluate the effect of family caregiver expressed emotion control program on relapse among patients with schizophrenia. Study design: A quasi-experimental design was utilized to conduct this study. Setting: This study was conducted at Psychiatric Mental Health Hospital in Benha City, Qalyubiya Government. The hospital is affiliated to General Secretariat of Mental …

Effect Of Emotional Intelligence Training Program On Burnout Among Psychiatric Mental Health Nurses, Mona Hassan Abdelaal

Nursing

Abstract Background: Developing Emotional Intelligence in nurses increase psychiatric nurses stress resistance and combat burnout which become an essential element in nursing practice generally and psychiatric nursing practice more specifically. Aim of study: Was to evaluate the effect of EI training program on burnout among psychiatric mental health nurses. Research design: A quasi-experimental design one group was utilized. Setting: The study was conducted at the Psychiatric Mental Health Hospital in Benha City, Kaluobia Governorate, which is affiliated to General Secretariat of Mental Health. Sample: A convenient sample was constituted the study subjects, the sample size was 60 nurses, which carry …

Dissociative Disorder And Its Relation To Stress Among Adolescents, Mona Hassan Abdelaal

Nursing

Abstract Background: Dissociative disorder is a mental disorder that characterized by a disruption in the normal integration of consciousness, memory, emotion, perception, identity, body representation, motor control, and behavior. Aim of study: Was to assess dissociative disorder and its relation to stress among adolescents. Research design: A descriptive study design was utilized. Sample: A convenience sample composed of 572 students of first grade. Setting: The study was carried out at Faculty of Nursing at Benha University in Benha City. Tools of data collection: Three tools were used, I: A structured Interview Questionnaire about the socio-demographic data of studied adolescents. II: …

Students' Awareness About Psychosocial Problems Associated With Cyber Bullying, Mona Hassan Abdelaal

Nursing

Abstract Background: Cyber bullying is the new power equation attached to bullying issue. In the meantime, digital technology has changed the way adolescents communicate and learn. It affects their behavior and attitude. Aim of the study: Was to assess students' level of awareness about psychosocial problems associated with cyber bullying. Research design: A descriptive exploratory design was used in this study. Setting: The study was conducted in two faculties at Benha University (Nursing and Education). Subjects: A sample of 400 students, 200 from each faculty were chosen by a purposive sample. Tools: Three tools were used for data collection. Tool …

Effect Of Motivational Interviewing Training Program On Compliance Among Patients With Substance Use Disorders, Mona Hassan Abdelaal

Nursing

Abstract Background: Motivational interviewing empowers the patient's recovery from substance use disorders and compliance with medication and intervention programs adherence. Aim: This study aimed to evaluate the effect of motivational interviewing training program on compliance among patients with substance use disorders. Design: A quasi-experimental research design was used in this study. Setting: This study was conducted at El-abbssia psychiatric mental health hospital at Cairo City &the psychiatric mental health hospital at Benha city, Qaluobia governorate which are affiliated to secretariat of mental health. Sample: The sample consisted of (60) patients with substance use disorders comprised two matched groups into study …

Effectiveness Of A Web-Based Smoking Cessation Training Program For Health Care Professionals Within An Acute Psychiatric Facility, Allie Carmichael

DNP Projects

Background: Tobacco use is the leading preventable cause of death and disease in the United States, with the prevalence remaining especially high among people with mental illness. Mental health providers often lack training in smoking cessation and feel uncomfortable addressing the issue with this patient population. Studies show that educational training offered to providers can lead to increased knowledge that improves the provider’s confidence and attitude about delivering smoking cessation treatment to patients. Mental health professionals must receive training on smoking cessation treatment modalities so they can effectively provide holistic care needed for recovery for patients with mental illness.

Purpose …

Effectiveness Of Substance Use Disorder Education On Knowledge And Attitudes Among Entry-Level Obstetric Nurses, Kathryn Hughes

DNP Projects

Background: Substance use disorder (SUD) among pregnant women is a significant public health concern in the United States, particularly in Kentucky. Nursing curriculum has not kept pace with the escalating public health crisis regarding SUD. Graduating nurses joining the obstetric field are often not prepared to meet the unique care needs of this vulnerable population.

Purpose: The purpose of this DNP project was to pilot an educational intervention embedded with content regarding SUD with entry-level obstetric nurses that were enrolled in the nurse residency program at UK HealthCare.

Methods: This project used a quasi-experimental pretest – posttest design. Participants completed …

Evaluation Of Dyad Effectiveness In A Psychiatric Healthcare Facility, Elizabeth Smith

DNP Projects

Background: Inadequate communication can lead to poor quality of care and patient outcomes. Physician-nurse dyad partnerships have been shown to increase effective communication but there is a lack of data to show the impact these dyads have on dyad members’ perceptions about patient safety, work engagement and quality patient outcome measures.

Purpose: This purpose of this project was to determine if a physician-nurse dyad structure in an inpatient psychiatric hospital would lead to improved participant perception about patient safety, work engagement, and patient quality outcomes.

Methods: A quasi-experimental pretest-posttest design was used. Participant perceptions related to patient safety, work engagement, …

The Effect Of A Web-Based Training On Suicide Knowledge, Attitudes, And Health Access Behaviors Of Behavioral Health Nurses Regarding Suicide Prevention, Marc Woods

DNP Projects

Background: Nurses, critical to the health care delivery system, experience a variety of psychological stressors that predispose them to suicide risk. Recent studies have verified elevated suicide risks in nurses when compared to the general population. There is limited understanding regarding the effectiveness of various strategies to reduce risk factors and increase protective factors for suicide among nurses.

Purpose: The purpose of this study was to evaluate if a web-based education module can improve the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in behavioral health nurses.

Conceptual Framework: Ajzen’s theory of …

Social Media Use And Mental Health: An Educational Intervention To Reduce Depression And Anxiety In Adolescents, Natalie Catlett

DNP Projects

Background: Most adolescents spend a great deal of their time using various social media platforms. However, excessive and maladaptive social media use is correlated with worsening symptoms of depression and anxiety among adolescents.

Objective: This project aimed to determine whether an educational intervention could help decrease overall time spent using social media and improve mood and mental health outcomes among adolescents with depression or anxiety disorders.

Methods: This was a quasi-experiment with a pretest and posttest design. An educational intervention about the relationship between social media use and symptoms of depression and anxiety among adolescents and strategies to minimize risk …

The Effect Of Education On The Nida Modified Assist (Nmassist) Tool On Knowledge And Screening For Substance Use Disorder Among Clinicians, Victoria Page Arnold

DNP Projects

Background: Substance use disorder (SUD) is a disparity affecting nearly 24 million individuals in the U.S., nearly 10% of the total population. Oftentimes, the emergency department (ED) is the only medical care this population receives. There is often a lack of screening for SUD in ED’s, therefore referred care may be limited for these individuals. The National Institute on Drug Abuse Modified Assist (NMASSIST) is an evidence-based tool developed to educate and screen for SUD. This tool can be completed in a timely manner and aid in the recommended referral of care for this select population.

Purpose: The purpose of …